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Case Reports
. 2012 Aug;32(8):2543-6.
doi: 10.1007/s00296-010-1447-9. Epub 2010 Apr 17.

Vasculitic multiplex mononeuritis: polyarteritis nodosa versus cryoglobulinemic vasculitis

Corinna Steidl  1 , Martin W Baumgaertel, Eva Neuen-Jacob, Peter Berlit
Affiliations
Case Reports

Vasculitic multiplex mononeuritis: polyarteritis nodosa versus cryoglobulinemic vasculitis

Corinna Steidl et al. Rheumatol Int. 2012 Aug.

Abstract

A 76-year-old female patient presented with a progressive motor-sensory multiplex mononeuritis (MM). Combined muscle and nerve biopsy showed the typical findings of a polyarteritis nodosa (PAN). Despite treatment with corticosteroids paresthesias increased and purpura of the legs newly appeared. Hepatitis screening revealed chronic hepatitis C-infection associated with cryoglobulinemia Type II (IgM-kappa Ig A). Finally, we diagnosed a hepatitis C-associated cryoglobulinemic vasculitis based on clinical and laboratory findings.

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References

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